Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.79 / $5,360.00 / $9,975.00	Facility		$555.79	$5,360.00	$9,975.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.78 / $562.54 / $693.79	Professional		$468.78	$562.54	$693.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $543.32 / $669.60 / $981.56	Facility		$543.32	$669.60	$981.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $497.48 / $657.61 / $1,632.00	Facility		$497.48	$657.61	$1,632.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,906.00 / $3,765.00	Facility		$1,066.00	$1,906.00	$3,765.00